Journal de la grossesse et de la santé infantile

Abstrait

Caesarean Operation at the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) of Ouagadougou, Burkina Faso Epidemiological and Prognostic Aspects

Ouattara A, Ouedraogo CMR, Ouedraogo A, Kain DP, Somé J, Bonané Thieba B, Lankoande J

Objective: To study the maternal and fetal morbi-mortality from caesarean section at the University Teaching Hospital Yalgado OUEDRAOGO (UTH-YO) of Ouagadougou in Burkina Faso.
Materials and method: It has been a descriptive cross-sectional study during 36 months from January 1st, 2012 to December 31st, 2014. The information was collected from the clinical records of patients delivered by caesarean section at the maternity of the UTH-YO during the study.
Results: During the study the incidence of caesarean section was 36.5%. We recorded 909 cases of maternal and fetal complications with a morbidity rate of 18.8%. In total 82.3% of women had been evacuated. The average age of patients was 27.2%. The mean of childbirth number was 2 with a range of 1 to 9. Caesarean section was performed in 94.7% of emergency cases. Intraoperative morbidity was 4.2%, dominated by injury and hemorrhagic complications. Postoperative morbidity was dominated by infection in 36.8 cases of hypertension in 26.8% of cases and hemorrhage in 3.45% of cases. Lethality of maternal complications was 3% dominated by hemorrhage and infection. Perinatal morbidity was observed in 10.24% of newborns dominated by neonatal infection. Stillbirth was 8.14%, the early neonatal mortality of 3.63% and perinatal 11.7%.
Conclusion: To improve the prognosis of caesarean section, efforts should be made by both practitioners and policy makers in the training of qualified staff, improving drainage conditions and improving accessibility to facilities providing obstetric care.